Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences,Tehran, Iran.
Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
J Prev Med Hyg. 2023 Nov 1;64(3):E367-E374. doi: 10.15167/2421-4248/jpmh2023.64.3.3081. eCollection 2023 Sep.
The history of the primary healthcare system in Iran portrays a journey of strategic development and implementation that has resulted in significant advancements in healthcare access and overall population well-being. Starting in the early 1980s, Iran embarked on a comprehensive approach to health care delivery prioritizing universal access, equity, and community participation.
The foundation of this system was established during the Alma-Ata Conference in 1978, which placed a strong emphasis on the role of primary health care in attaining health for all.Iran's unwavering commitment to this approach led to the creation of an extensive network of rural and urban health centers designed to offer essential health services and preventive care to all citizens.
Over the years, the expansion of Iran's primary healthcare system has yielded noteworthy accomplishments. Maternal and child mortality rates have seen substantial declines, attributed to improved access to maternal care and immunization services. The effectiveness of the system in reaching diverse populations has been enhanced through community engagement and the integration of traditional medicine. Furthermore, Iran's focus on health education and disease prevention has resulted in heightened public awareness and the adoption of healthier lifestyles. Despite these achievements, challenges continue to persist. Disparities in the quality and accessibility of services between urban and rural areas remain a concern. Moreover, the ongoing necessity for infrastructure development, training of the health workforce, and efficient resource allocation underscore the continuous efforts required to strengthen the primary healthcare system.
The history of Iran's primary health care system is marked by progress and achievements, underscored by an unwavering commitment to providing comprehensive, community-based care. Iran's journey serves as an exemplary model, highlighting the positive impact of prioritizing primary health care in achieving better health outcomes for its population. As Iran continues to evolve its health system, addressing challenges and building upon successes, the history of its primary health care system serves as a valuable lesson in the pursuit of accessible and equitable health care for all.
伊朗初级卫生保健系统的历史描绘了一个战略发展和实施的历程,这导致了医疗可及性和整体人口福祉的显著提高。从 20 世纪 80 年代初开始,伊朗开始采取一种全面的医疗保健提供方法,优先考虑普及、公平和社区参与。
该系统的基础是在 1978 年的阿拉木图会议上建立的,该会议强调了初级卫生保健在实现全民健康中的作用。伊朗对这一方法的坚定承诺导致了一个广泛的农村和城市卫生中心网络的建立,旨在为所有公民提供基本的卫生服务和预防保健。
多年来,伊朗初级卫生保健系统的扩展取得了显著成就。孕产妇和儿童死亡率大幅下降,这归因于孕产妇保健和免疫服务的改善。通过社区参与和传统医学的融合,该系统在覆盖不同人群方面的效果得到了增强。此外,伊朗对健康教育和疾病预防的重视提高了公众意识,促进了更健康的生活方式的采用。尽管取得了这些成就,但挑战依然存在。城乡地区服务的质量和可及性存在差异仍然令人关注。此外,基础设施发展、卫生人力培训和有效资源分配的持续必要性突显了加强初级卫生保健系统所需的持续努力。
伊朗初级卫生保健系统的历史是进步和成就的标志,坚定地致力于提供全面的、以社区为基础的保健服务。伊朗的历程是一个典范,突出了优先考虑初级卫生保健在实现其人口更好健康结果方面的积极影响。随着伊朗继续发展其卫生系统,应对挑战并在成功的基础上再接再厉,其初级卫生保健系统的历史为实现全民可及和公平的卫生保健提供了宝贵的经验教训。